Otaigbe, Omolara
Otaigbe, Omolara is an individual health care provider with primary practice located at 6600 U S Highway 98 Suite B, Hattiesburg MS 39402-8441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Otaigbe, Omolara can be contacted via phone (601) 261-2727.Contact Information
Primary practice address
6600 U S Highway 98 Suite B
Hattiesburg MS 39402-8441
Phone: (601) 261-2727
Fax: (601) 261-9847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17878 | Mississippi |
Profile Details
| NPI number | 1932164456 |
|---|---|
| LBN Legal business name | Otaigbe, Omolara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Dec 12th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932164456 | NPPES |
| Mississippi | MEDICAID | 00126731 |
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